ANGELO ALGAS` POTENCIANO M.D. NPI 1598798308

NPI Information

NPI: 1598798308
Provider Name: ANGELO ALGAS` POTENCIANO, M.D.
Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Individual

Specialization: Addiction Psychiatry

Organization: ALBANY MEDICAL COLLEGE

PECOS Registration: Yes

Address:
315 S MANNING BLVD
3-CUSACK RM 3503
ALBANY, NY
ZIP 12208
Phone: (518) 525-1304
Get Directions

Angelo Algas` Potenciano, M.D. is an addiction psychiatry psychiatry neurology in Albany, NY with 35 years of experience. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. Angelo Algas` Potenciano, M.D. NPI is 1598798308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

315 S MANNING BLVD
3-CUSACK RM 3503
ALBANY, NY
ZIP 12208-707
Phone: (518) 525-1304

The NPI 1598798308 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	224873	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4144957	OTHER	NEW YORK	MVP
2	10084930	OTHER	NEW YORK	CDPHP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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